Technical TrickBiplanar Posterior Pelvic Fixator for Unstable Sacral Fractures: A New Fixation TechniqueAbo-Elsoud, Mohamed MD; Eldeeb, Said MD; Gobba, Mohamed MD; Sadek, Fouad Zamel MD Author Information Department of Orthopaedics and Traumatology, Kasralainy School of Medicine, Cairo University, Egypt. Reprints: Mohamed Abo-Elsoud, MD, 902/55B Elforsan City, Mokatam, Cairo 11439, Egypt (e-mail: [email protected]). The authors report no conflict of interest. Journal of Orthopaedic Trauma 32(5):p e185-e190, May 2018. | DOI: 10.1097/BOT.0000000000001101 Buy Metrics Abstract Summary: Fixation of comminuted vertically unstable sacral fractures continues to be a surgical dilemma. Although triangular osteosynthesis is a good construct and resists vertical translation, complications still occur. Herein, we introduce a new biplanar fixation technique, using segmental spinal instrumentation as an alternative to triangular osteosynthesis. This technique is remarkably valuable in cases with sacral morphology and/or complex fracture patterns that preclude safe percutaneous iliosacral screw insertion. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.